Phillip Roberts Pate
Controlled Substance Registration - Dentist
Indiana 12006519B Active
This Indiana license is held by Phillip Roberts Pate. The license is currently active. It was granted on 12/31/1982 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006519B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 12/31/1982 (over 42 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
2705 South Berkley Road, #B, Kokomo IN 46902
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